Timothy Stevens, D.D.S

NPI #1164416731 in El Centro, California

Provider Information

NPI Number: 1164416731
Entity Type: Individual
Name: Timothy Stevens, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.D.S
Enumeration Date: Sep 9, 2005
Last Updated: Jun 28, 2013

Practice Location

Address: 1745 S IMPERIAL AVE STE 107
City: El Centro
State: California
ZIP Code: 92243-4243
Phone: (760) 353-7603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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